Provider Demographics
NPI:1073196564
Name:DELANEY, ARRUNN JR
Entity Type:Individual
Prefix:
First Name:ARRUNN
Middle Name:
Last Name:DELANEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22910 IMPERIAL VALLEY DR APT 510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1113
Mailing Address - Country:US
Mailing Address - Phone:281-912-5145
Mailing Address - Fax:
Practice Address - Street 1:18482 KUYKENDAHL RD STE 166
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8123
Practice Address - Country:US
Practice Address - Phone:877-712-2735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician